ERICKSON HEALTH MEDICAL GROUP OF PENNSYLVANIA PC – NPI #1235149477
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

ERICKSON HEALTH MEDICAL GROUP OF PENNSYLVANIA PC is a provider located in GLEN MILLS, PA. NPPES has assigned the NPI number 1235149477 to ERICKSON HEALTH MEDICAL GROUP OF PENNSYLVANIA PC on August 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ERICKSON HEALTH MEDICAL GROUP OF PENNSYLVANIA PC is also known by the name MARIS GROVE MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Aug 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ERICKSON HEALTH MEDICAL GROUP OF PENNSYLVANIA PC below.

NPI Profile for
ERICKSON HEALTH MEDICAL GROUP OF PENNSYLVANIA PC

NPI Number
1235149477
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ERICKSON HEALTH MEDICAL GROUP OF PENNSYLVANIA PC
Other Name: MARIS GROVE MEDICAL CENTER
Primary location
100 MARIS GROVE WAY
GLEN MILLS, PA 19342
Phone: (610) 387-4520 Fax: (610) 387-4526
Mailing address
5730 EXECUTIVE DR STE 230
CATONSVILLE, MD 21228-1762
Phone: (610) 387-4520 Fax: (610) 387-4526
Organization Subpart
No
Authorized Official
MATTHEW NARRETT
SENIOR VP AND CHIEF MEDICAL OFFICER
Phone: (410) 402-2257
Updated
Certification Date
Aug 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ERICKSON HEALTH MEDICAL GROUP OF PENNSYLVANIA PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBS OF PA758848
otherEVERCARE01-24638
otherHIGHMARK BLUE SHIELD2055830
otherHIGHMARK BLUE SHIELD PODIATRISTS2055836
otherHIGHMARK BS2045582
otherKEYSTONE22-55915002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.